Individual
DR. ALANA C THOMPSON-BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 REGENCY PL, MILLSTADT, IL 62260-2210
(618) 476-3373
(618) 476-1890
Mailing address
60 REGENCY PL, MILLSTADT, IL 62260-2210
(618) 476-3373
(618) 476-1890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-111851
IL
207Q00000X
Family Medicine Physician
Primary
2013036399
MO
207Q00000X
Family Medicine Physician
2013036699
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111851
—
IL
01
—
08221043
BCBS OF ILLINOIS GROUP #
IL
Enumeration date
08/03/2006
Last updated
10/10/2017
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